Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $295.12	Professional		$128.82	$181.97	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $331.13	Professional		$208.93	$275.42	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $512.86	Professional		$165.96	$165.96	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $524.81	Professional		$275.42	$346.74	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $380.19	Facility		$97.72	$263.03	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $398.11	Professional		$165.96	$165.96	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $223.87 / $407.38	Facility		$114.82	$223.87	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $223.87	Professional		$138.04	$165.96	$223.87